ACH Authorization Form

U.S. Computer Corporation (“USC”) is hereby authorized to initiate debit entries and to initiate, if necessary, credit entries and adjustments for any debit entries made in error to the bank account listed below.  Customer acknowledges that this Form will remain in effect until written cancelation has been provided, and such written notice must be provided at least thirty (30) days prior to the next billing date.  Customer acknowledges that U.S. Computer Corporation must be notified of any changes to bank account information at least thirty (30) days prior to the next billing date.  NOTE: In the case of an ACH transaction being rejected for Non-Sufficient Funds (“NSF”), it is understood that USC may, at its discretion, attempt to process the charge again within thirty (30) days.  Customer also agrees to an additional $35 charge for each attempt returned NSF which will be initiated as a separate transaction from any authorized payments.

Billing Information

Bank Account Information

If this is a one-time payment, selecting "This is a One-Time Payment" will allow you to input the payment amount and the invoice(s) to be paid. Once payment has been cleared, USC will provide a receipt for your records. If this is not just a one-time payment, you will be given the option to select the types of invoices for which you would like to use this form of payment.

Authorization and Consent